Individual ProviderEd Michael Roales PutizStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3601 4th Street, 8103, Lubbock, TX 79430(806) 743-6744PECOS EnrollmentBased on the most recent information from CMS, provider Ed Michael Roales Putiz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1366232340Provider TypeIndividualFull NamePutiz, Ed Michael RoalesTitleMr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/12/2025Last Updated5/12/2025Contact InformationPractice LocationPractice Address3601 4th Street, 8103, Lubbock, TX 79430Phone(806) 743-6744FaxUnlisted FaxMailing LocationMailing Address3601 4th Street, Stop 8103, Lubbock, TX 79430Phone(806) 743-6744FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer